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Enfermería Global

On-line version ISSN 1695-6141


CECAGNO, Susana et al. Quality management in pre-natal care: urinary infections care in a municipality of the Legal Amazon. Enferm. glob. [online]. 2019, vol.18, n.55, pp.377-420.  Epub Oct 21, 2019. ISSN 1695-6141.


To evaluate the effects of a quality improvement cycle in the prevention and management of UTI during pre-natal.


This is a quantitative study with partly completed experimental design type before and after, with no control group, carried out in Cacoal/RO between March 2015 and February 2016. An external quality improvement cycle was applied for the prevention and management of pre-natal urinary infections. This occurred with evaluations of five quality criteria.


Multi-variate analysis of quality improvement, it was observed that most of the criteria of statistical significance (p> 0.001), except criterion 1 which showed a p lower than expected. The criteria 1, 2 and 4 achieved a percentage above 65% compliance in both the samples. With respect to criterion 5, it can be inferred that 10.8% of the analyzed sample contained record examination results EQU and/or altered urine culture, and of these 53% had adequate treatment record.


The methodology used to improve the quality of the external cycle collaborated in the remodeling of the care processes of pre-natal and especially in the integration between care teams and managers of different levels of complexity worked, strengthening co-management and co-participation of workers involved directly in care for users in the municipal health management processes. It has also enabled reflections on the existing flowcharts, providing the re-design of the same as reflected in improving access of pregnant women to health services and quality care.

Keywords : pregnancy; pre-natal care; quality management.

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